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Navy and Marine Corps 

Medical News 

A Public Affairs Publication of the U.S. Navy Bureau of Medicine and Surgery 

September 2012 

MEDNEWS Items of Interest 

September highlights Suicide Preven- 
tion Awareness Month. This month, 
the miUtary services and the Mih- 
tary Health System come together to 
recognize Suicide Prevention Aware- 
ness Month. The goal is to educate 
ourselves, shipmates, leaders, and 
families on the signs of suicide, where 
to get access to treatment and how to 

USNS Mercy returned from Pacific Part- 
nership 2012, Sept. 14. 

September oberves Hispanic Heritage 

Navy Weeks 2012 - Navy Medicine will be 



Find us on Facebook. U.S. Navy Bureau of 
Medicine and Surgery, follow us on Twit- 
ter @ NavyMedicine, read our publica- 
tions on Issuu, check out our photos on 
Flickr, watch our videos on YouTube and 
read our blog on Navy Live. 

Did You Know? 

USNS Mercy s team treated 
more than 49,000 people 
ashore, including dental 
care and services like the 
distribution of eyeglasses 
and sunglasses during Pa- 
cific Partnership 2012. The 
team performed more than 
900 shipboard surgeries, 
and treated or evaluated 
more than 7,000 livestock 
and domestic animals. 


By L.A. Shively, Joint Base San 
Antonio - Fort Sam Houston 

SAN ANTONIO - Focusing on their 
concerns, Vice Adm. Matthew L. Nathan, 
surgeon general of the Navy, spent Sept. 
13 visiting with wounded Marines, Sail- 
ors, and the staff of Naval Health Clinic 
Corpus Christi Detachment at the San 
Antonio Military Medical Center, Joint 
Base San Antonio-Fort Sam Houston. 

Nathan said he recognized what he 
coined as "nodes of excellence" - military 
medical centers across the country such 
as SAMMC - that provide critical care 
for those injured in combat; as well as 
tertiary medical facilities that treat illness, 
disease and non-combat injuries. 

But, beyond the high standard of care 
they receive from these facilities, Nathan 

said he wanted to ensure Marines and 
Sailors knew the Marine Corps and the 
Navy have not forgotten them in what is a 
traditionally an Army- Air Force environ- 
ment here in San Antonio. 

Nathan, also chief of the Navy's Bureau 
of Medicine and Surgery, reached out on 
a personal note as well. 

"Thank you on behalf of the people I 
work with back in [Washington] D.C.," 
he said to the group of about 50 in the 
SAMMC auditorium. 

The Admiral discussed future changes 
planned within the Defense Depart- 
ment such as downsizing and a strategic 
refocus toward the Pacific region, Asia, 
Africa and South America for the Navy. 
Nathan also said that coalition forces 

See Surgeon, Page 3 

Photo by L.A. Shively 

Vice Adm. Matthew Nathan, Navy surgeon general, visits with Andrew Knudson and 
presents hinn with a coin. Knudson was training in Navy dentistry when he becanne 
ill and plans to complete his training after he recovers. Nathan visited with wound- 
ed Marines, Sailors, and the staff of Naval Health Clinic Corpus Christi Detachment 
at the San Antonio Military Medical Center, Sept. 13. 

Surgeon General's Corner 

Navy Medicine supports 
prevention awareness month 

yyny day on which a Sailor or Marine 
^^akes their own Ufe is tragic on so 
many levels. Suicide can be preventable 
and can be stopped if you have the right 
tools to do so. It is vital that we come 
together and stand watch for one another. 
This month, we work together with the 
other military ser- 
vices and the Military 
Health System to 
recognize Suicide 
Prevention Awareness 
Month. Our goal is 
to educate ourselves, 
shipmates, lead- 
ers, and families on 
the signs of suicide, 
where to get access to 
treatment and how 
to intervene. 

Even one life lost to suicide is one too 
many. There is an immense need for all 
Navy Medicine commands to focus on 
suicide prevention. It is an all-hands ef- 
fort. Health care professionals tell us the 
biggest reason someone takes their own 
life is to "stop the pain and feelings of 
anguish". People feel there is no way out; 
but time and experience tell us that if we 
can hold on and get help, the feeling of 
desperation can pass. It is up to all of us 
to look for the helpless and more impor- 
tantly the hopeless, and let them know 

"We must perform 
our mission without 
fail, and we can't 
perform our mission 
without our people." 

there well be help and there is hope. 
You know my philosophy - "Ship, 
Shipmate, Self." Tliink of the ship as our 
mission. We must perform our mission, 
whether it be at sea, on land or on the 
battlefield. We must perform our mission 
without fail, and we can t perform our 
mission without 

Navy and Marine Corps 

Medical News 

U.S. Navy Bureau of Medicine and Surgery 

^ice Adm. Matthew L. Nathan 

U.S. Navy Surgeon General 

Capt. Dora Lockwood 

Public Affairs Officer 

Shoni PiHp-Florea 

Deputy Public Affairs Officer 

Valerie A. Kremer 

MEDNEWS Managing Editor 

U.S. Navy Bureau of Medicine and Surgery 
-^t-^700 Arlington Blvd. Ste. 5122 
Falls Church, Va. 22042-5122 

Public Affairs Office f 


our people. 

We must take 
careof our ship- 
mates. If you see 
a shipmate, ask 
them hov^ they are 
doing. They may 
appear fine on the 
-Vice Adm. Matthew Nathan surface, but many 
U.S. Navy Surgeon General Sailors thinking 

about taking their 
ov\rn life may be in pain and may not v\rant 
to talk about their depression. They may 
need help, so get involved. Ask, Care, 
Treat (ACT) is a tool you can use to help 
prevent a suspected suicide. You can ask 
hov\r your shipmates are feeling, let them 
knov^r that you care about them and if 
needed, get them treatment. 

Above all we have a duty to look after 
one another. It is our moral obligation 
to seek professional guidance v^hen our 
loved ones, co-workers, or friends mani- 
fest v^arning signs such as vocalizing an 
intention to harm their self, exhibiting 
social v^ithdrav\ral, or otherv^ise shoM^ing 
uncharacteristic changes in behavior. 

Take care of yourself. Within our 
greater military medical community as 
v\rell, v^e need to be vigilant about taking 
care of ourselves. Taking care of others 
on a daily basis can take its toll on our 
ov^n mental health, so it's important to 
check in v^ith each other regularly. We 
can only provide quality care for others to 
the extent that we take good care 
of ourselves. 

I am fully avs^are that many Sailors 
and Marines believe there is a stigma for 
seeking help from depression or stress. 
This could not be farther from the truth. 
It takes a lot of courage to come forv^ard 
and reach out for help and in this en- 
lightened day and age, I sincerely believe 
people respect a decision to seek help. 
We need to come together to eliminate 
the stigma associated v^rith seeking help 

Vice Adm. Matthew L. Nathan 
U.S. Navy Surgeon General 

so that those v^ho need the resources can 
receive them. 

Existing resources are available to 
enhance local suicide prevention pro- 
grams and inform service members of 
programs available to them. The DoD 
and VA have established a partnership 
dedicated primarily to providing educa- 
tion, counseling, and treatment in an all- 
hands effort at suicide prevention; anyone 
can access this resource by visiting v^v^v^. 

Additionally, organizations like Mili- 
tary One Source, Fleet and Family Service 
Centers, and your local commands offer 
robust resources tov\rard identifying 
suicidal behaviors and offering path- 
v\rays tov^ard treatment. Additionally, the 
National Suicide Prevention hotline is 
immediately available to service members 
by dialing 800-273-TALK (8255) and 

We're all in this together. We need to 
make sure v^e take care of those v^hose 
care we are charged v^ith, v^e need to 
take care of each other, and we need to 
take care of ourselves. As alv^ays, I am 
honored and proud to serve as your 
Surgeon General. 

/u^Cffefr ftera for 
f" your lif&ifne. 


-. (aaSS Option 1 J 

Moulton promoted, will load Modlcal Sorvico Corps 

By Joshua L. Wick, U.S. Navy Bureau of Medicine and 
Surgery Public Affairs 

FALLS CHURCH, Va. - Capt. Terry J. Moulton will be pro- 
moted to the rank of Rear Admiral (lower half) by Vice Adm. 
Matthew L. Nathan, surgeon general of the U.S. Navy and chief, 
U.S. Navy Bureau of Medicine and Surgery during a ceremony 
Aug. 30. 

Moulton will officially assume the responsibilities as the 
deputy chief of medical operations, U.S. Navy Bureau of Medi- 
cine and Surgery and the director of the Medical Service Corps 
at the Defense Health Headquarters in Falls Church, Va. 

Moulton is currently serving as executive assistant to the 
surgeon general. 

Moulton has served in various assignments throughout the 
world including positions in Philadelphia, Pa., Pearl Harbor, 
Hawaii, Cherry Point, N.C., Guantanamo Bay, Cuba, Pensacola, 
Fla., as well as Okinawa, Japan. He also deployed to the Persian 
Gulf in support of Operation Desert Storm aboard aircraft car- 
rier USS Nimitz (CVN 68). 

Prior to reporting to his current assignment in 201 1, he 
served as the commanding officer of U.S. Naval Hospital, 
Okinawa, Japan, the Navy's largest overseas hospital serving the 
Western Pacific. 

Moulton is a 1978 graduate of Greenbrier High School, 
Greenbrier, Tenn. He received a Bachelor of Science degree in 
Health Care Administration from Western Kentucky University, 
Bowling Green, Ky, and a Masters in Business Administra- 
tion from Chaminade University in Honolulu, Hawaii. Captain 
Moulton is also a graduate of the Naval War College non-resi- 
dent program. 

by Joshua L. Wick 

Vice Adm. Matthew L. Nathan, surgeon general of the U.S. 
Navy and chief, U.S. Navy Bureau of Medicine and Surgery 
adnninisters the oath of office to Rear Adnn. Terry J . Moulton 
during his change of comnnand and promotion ceremony Aug. 
30 at the Women in Military Service for America Memorial in 
Arlington, Va. 

Moulton received his commission as an ensign in the Medical 
Service Corps in 1983. 

His personal decorations include: Legion of Merit, Defense 
Meritorious Service Medal, Meritorious Service Medal (Six 
awards) one of which notes his actions as a first responder 
during the attack on the Pentagon on Sept. 11, 2001. He also 
holds the Navy and Marine Corps Commendation Medal (four 
awards). Navy and Marine Corps Achievement Medal, and vari- 
ous other service and units awards and Surface Warfare Medical 
Department Officer Qualification. 


From page 1 

were 99 percent out of Iraq and, though 
not smoothly, relocating troops out of 
Afghanistan is continuing. 

Nathans visit meant a lot to Marine 
Lance Cpl. Jonathan Stephenson who was 
wounded by a roadside bomb in March 
while he was on convoy in Helmand 
province, Afghanistan. 

Stephenson, the turret gunner in a 
truck, was thrown 60 meters from his 
vehicle when it was struck. He said he 
doesn't remember anything until he woke 
up at the Walter Reed National Military 
Medical Center in Bethesda, Md., two 
weeks later. 

"It shows that somebody cares," said 
Stephenson, "and that there are people 
looking out for our best interests." 

Questions on issues during the town 
hall ranged from current global affairs to 
local staffing. 

One sailor presented a new challenge 
for the surgeon general to consider: how 
must a sailor s weight be factored into the 
physical readiness standards when he or 
she has a prosthetic? 

"It s important for the sailor, in case he 

or she has the option to return to active 
duty," explained Navy Hospital Corpsman 
2nd Class Mark Foriska, a liaison with 
Detachment SAMMC, who posed the 
question. "It's also important if they con- 
tinue to have treatment here at SAMMC." 

Foriska said the subject came up dur- 
ing a class he was attending. 

"Nobody had the answer, so I thought 
this was the perfect time to bring up the 
question," said Foriska. 

Officials cite a 95 percent survival rate 
for battlefield injuries, where cutting- 
edge technology allows many amputees 
and others with severe injury to recover, 
return to the same type of work, and even 
deploy again. 

"We have people wearing prosthetic 
devices that can now get back into the 
cockpit, get back into the fight or con- 
tinue to serve on active duty in a variety 
of ways; and be required to stay fit like 
everybody else," said Nathan. 

The Admiral's first step toward de- 
veloping weight standards for service 
mem-bers with prosthetics will be to 
survey military personnel and medical 
facilities in order to find out what is being 
done currently; and then devise a formula 
for measurement. 

Using the ratio of height to girth might 
provide an initial answer, he said, adding 
that he needs to do additional research. 

After his town hall meeting, Nathan 
toured the newly-completed U.S. Army 
Institute of Surgical Research. Adjacent 
to SAMMC, the facility is dedicated to 
advancing combat casualty care and pro- 
viding state-of-the-art trauma, burn and 
critical care. 

Nathan also attended the chief petty 
officer pinning ceremony at the Fort Sam 
Houston Theatre, Sept. 14, during his 
visit. The pinning ceremony is a culmi- 
nating event where Sailors are awarded 
anchors and allowed to don the uniform 
of Navy chief petty officer for the first 
time after proving their worth during an 
eight- week leadership course. 

Unique to the Navy, the course tests 
the chief selectees' fortitude under duress. 

"It's a thrill to get out in the field and 
see our Sailors, our corpsmen, our medi- 
cal personnel, our patients, talk to them, 
hear what is on their minds," Nathan said, 
"and let them show off what they do, be- 
cause they do so many things so well." 

September 2012-MEDNEWS -3 


makes house calls during Buffalo Navy Week 

By Valerie A. Kremer, U.S. Navy 
Bureau of Medicine and Surgery 
Public Affairs 

BUFFALO, N.Y. - Navy Medicine leader- 
ship met with Buffalo's top health care 
leaders, students, veterans and civic 
organizations to discuss shared initiatives. 
Navy Medicines robust capabilities and 
role in the maritime strategy as part of 
Buffalo Navy Week, Sept. 11-14. 

Rear Adm. Rebecca McCormick- 
Boyle, chief of staff, U.S. Navy Bureau 
of Medicine and Surgery, was the senior 
medical officer representing Navy Medi- 
cine during Buffalo Navy Week. 

"I am so happy to be back home in 
Buffalo, which has a rich heritage of sup- 
porting the military" said McCormick- 
Boyle. "Buffalo Navy Week and the 
War of 1812 commemoration show the 
American public how their Navy plays a 
crucial role in protecting the sea lanes, 
and also how we take care of our dedi- 
cated men and women in uniform." 

Out of the nearly 330,000 active duty 
Sailors across the Navy, nearly 15,000 
come from New York, over 2,000 reserve 
Sailors hail from the state and nearly 
10,000 retired Navy men and women are 
currently living in the state of New York, 
McCormick- Boyle noted. 

During a meeting with the Buffalo VA 
Medical Center, McCormick-Boyle met 
with leadership and staff and discussed 
the similarities between the Patient 
Aligned Care 
Team (PACT) and 
Navy Medicine s 
Medical Home 
Port model. In 
both models, the 
patient is assigned 
a team of health 
care professionals 
who takes care of the patient's continuum 
and coordination of care. 

"Military medicine influences our 
continuum of care," said Brian Stiller, 
medical center director, VA Western New 
York Healthcare System. "When we see 
the services that are provided in military 
facilities, it greatly influences the ad- 
vancement of our services. It's great to see 
that both Navy Medicine and the VA are 
using similar health care models with the 
Patient Aligned Care Team (PACT) and 
Medical Home Port models of care - two 
models which make a significant impact 
on the way we provide care to our veter- 

4 • MEDNEWS • September 2012 

U.S. Navy photo by Mass Communication Specialist 1st Class Chris Laurent 

Rear Adm. Rebecca McCormick- Boyle, chief of staff, U.S. Navy Bureau of Medicine 
and Surgery, sits beside Rear Adm. Greg Nosal, commander. Carrier Stril<e Group 
Two as they are both interviewed by Tammy Lee Demler of WNY Tonight during 
Buffalo Navy Week 2012. Buffalo Navy Week 2012 is one of 15 signature events 
planned across America in 2012 and also commemorates the War of 1812. 

ans and their families." 

During the week, McCormick-Boyle 
also met with Horizon Health Services, 
where the group discussed the impor- 
tance of behavioral and mental health 
services for service members and their 

"It's crucial that military and civilian 
health care leaders come together to elim- 
. inate the stigma 

''Navy Medicine first and 
foremost provides force 
health protection." 

-Rear Adm. Rebecca McCormick-Boyle 

chief of staff, 
U.S. Navy Bureau of IVIedicine and Surgery 

with reaching 
out for mental 
heath care," said 
Boyle. "It takes 
a lot of strength 
to ask for help 
and we need to be there when our service 
members and their families do reach out. 

"The military is not an island," she 
added. "We work with community lead- 
ers such as Horizon Health Services to 
take care of our service members and 
their families." 

During a meeting with leadership and 
staff of the Erie County Medical Center, 
McCormick-Boyle highlighted Navy 
Medicine's role in the Maritime strategy 
as well as capabilities in expeditionary 
care, research and development, humani- 
tarian assistance/ disaster response, and 
garrison care. ECMC is a regional cen- 
ter for trauma, burn, rehabilitation and 

cardiac care, and is also a major teaching 
facility for the University at Buffalo. 

"Navy Medicine plays a vital role in 
the execution of the maritime strategy: 
forward presence, deterrence, sea control, 
power projection, and maritime security, 
because no ship, submarine, aircraft or 
other Navy asset deploys without the 
support of Navy Medicine," said McCor- 
mick-Boyle. "In addition. Navy Medi- 
cine projects and executes 'soft power', 
the maritime strategy's final priority, 
through its most visible role in humani- 
tarian assistance/disaster relief missions." 

The group also discussed the advance- 
ments that have been made in trauma 
medicine as the country has been at war 
for the last decade. 

"Navy Medicine first and foremost 
provides force health protection," said 
McCormick-Boyle. "We have embraced 
the challenge of battlefield care and 
acute trauma care and continue to work 
together to advance the care provided on 
the battlefield." 

Other events during the week included 
a visit with students from the University 
at Buffalo School of Nursing, City Honors 
School, the Twentieth Century Club, Ka- 
leida Health, Navy League and multiple 
media interviews, to name a few. 

Buffalo Navy Week (Sept. 10-17) is 
one of 15 Navy weeks across the country 
this year. 

Nauy Medicine announces enterprise-wide reorganization 

From U.S. Navy Bureau of Medicine 
and Surgery Public Affairs 

Navy Bureau of Medicine and Surgery 
(BUMED) detailed its reorganization and 
realignment plan for the Navy Medicine 
enterprise in a message to its staff Aug. 

The message, sent 
from BUMED chief 
of staff Rear Adm. 
Rebecca McCormick- 
Boyle, announced the 
implementation phase 
of the reorganization 
designed to build a 
more effective, efficient 
and responsive organi- 

"Over the past 
several months. Navy 
Medicine leadership discussed and 
prioritized organizational opportunities 
and challenges to build a better and more 

integrated command around Navy and 
Marine Corps leadership," wrote McCor- 
mick-Boyle. "As a result, we are engaged 
in executing a realignment plan for the 
Navy Medicine enterprise that will meet 
these requirements." 

The realignment is also closely linked 
to Navy Surgeon General Vice Adm. 

Matthew Nathans 
strategic vision for 
Navy Medicine 
which puts an 
emphasis on three 
core objectives- 
value, readiness 
and jointness, ac- 
cording to McCor- 
mick- Boyle. 
"We must con- 

"Our main mission 
is support to the 
warfighter and we're 
in the fight to build 
an organization that 
can do just that." 

-Rear Adm. Rebecca IVIcCormick-Boyle 

chief of staff, centrate on bring- 
U.S. Navy Bureau of Medicine and Surgery • ^^^^ ^^j^^ 

to our customers 
and stakeholders across the enterprise 
and improve our ability to operate in a 
joint environment while maintaining a 

high state of medical readiness for our 
naval forces," McCormick-Boyle wrote. 
"As Vice Adm. Nathan often says, when 
the world dials 9-1-1, it is not to make 
an appointment and we are taking the 
steps necessary to ensure we are ready to 
answer without delay." 

The biggest change underway involved 
re- scoping the organization, responsi- 
bilities and structure of what was Navy 
Medicine Support Command (NMSC). 
In July 2012, NMSC was renamed and 
re- scoped from a Regional command into 
Navy Medicine Education and Training 
Command (NMETC) with a primary 
focus on education and training. The 
new command is headquartered in San 
Antonio, Texas and has detachments in 
Jacksonville, Fla., and Bethesda, Md. 

NMETC will work closely with 
BUMED to ensure Navy medical per- 
sonnel continue to be equipped with 
the best training military medicine can 

See Reorganization, Page 7 

Navy Surgeon General marks Dental Gerps centennial 

By Joshua L. Wick, U.S. Navy Bureau of Medicine and 
Surgery Public Affairs 

FALLS CHURCH, Va. - The US. Navy Surgeon General sent a 
message to the Dental Corps commemorating its 100th birthday 
celebrated Aug. 22. 

The Dental Corps' origins date back to August 22, 1912, 
when then- President Taft signed into law the act passed by the 
62th Congress, establishing the Navy Dental Corps. 

From the original cadre of 30 assistant dental surgeons, the 
Dental Corps has grown in both size and capability. 

"Today we celebrate a centennial of service," said Vice Adm. 
Matthew Nathan, Navy surgeon general and chief. Bureau of 
Medicine and Surgery (BUMED). "Our dentists have served in 
times of peace and war to ensure dental readiness and optimize 
dental health for those entrusted to their care." 

"Your work, in times of peace and conflict, has earned the 
Dental Corps a prominent place in the proud history of the 
United States Navy," said Nathan. 

From World War I to Afghanistan, the Dental Corps is vital 
in ensuring the highest operational readiness for all who deploy. 
Dental Corps personnel serve with Marine Expeditionary Units 
and aboard ships, assuming roles in triage and surgical support 
at Marine Battalion aid stations and battle dressing stations. 
Their mobile dental units are capable of providing dental care 
on any platform. 

"The Dental Corps continue to support Navy Medicine's ef- 
forts for the maritime strategy and in providing world-class care 
through its humanitarian relief and disaster response missions 
such Continuing Promise and Pacific Partnership," said Nathan. 

Today, more than 2,500 active duty and Reserve Dental 
Corps personnel serve and support both the Navy and the 

Marine Corps throughout the world and care for our Sailors, 
Marines and their families. 

"You are making lasting impressions on thousands of people 
in need of dental care," he said. 

The Navy Dental Corps continues to focus heavily on disease 
prevention, a quality that distinguishes their corps today. 

"It is your honor, courage, and commitment that we com- 
memorate today," said Nathan. "Service men and women can 
always count on the Navy Dental Corps to provide quality and 
compassionate patient and family - centered health care, happy 
100th birthday!" 

Courtesy photo/ U.S. Navy Bureau of Medicine and Surgery archives 

Navy dental students learn in the prosthetic laboratory at the 
Navy Dental School, Bethesda, Md., 1931. 

September 2012 -MEDNEWS -5 

IT innovations iioip NNICSD emorgoncy department staff 

By Barbara Ware, U.S. Navy Bureau of Medicine and Surgery 

SAN DIEGO - Naval Medical Center San Diego's (NMCSD) 
recently completed $10.1 million Emergency Department (ED) 
renovation project showcases Navy Medicines commitment to 
increased use of information technology and improving the use 
of electronic health records (EHRs). 

In 2009, the U.S. Department of Defense (DoD) selected the 
Essentris® EMR™ as the inpatient electronic medical record for 
all its acute care medical treatment facilities (MTFs) worldwide. 
By 201 1, Essentris® had been deployed in all 59 MTFs (19 Navy) 
across the Military Health System. 

Today, more than 850 physicians, physician assistants, nurse 
practitioners, nurses, coders, medical technicians, corpsmen, 
dieticians, pharmacists, chaplains, lab staff, administrators, 
physical and speech therapists and administrators participate in 
the Content Advisory Groups (CAGs) built around functional 
communities (e.g. medical/surgical, emergency care and labora- 
tory communities). These CAGs work under the guidance of 
Navy Medicines Clinical Informatics Directorate led by Capt. 
Lea Beilman, Navy Nurse Corps, to standardize and continu- 
ously optimize Essentris® content and clinical workflows in all 

The new ED at NMCSD builds on the Essentris® optimization 
effort by integrating better efficiency and improved patient care 
into its very foundation. 

"This ED was redesigned with an eye toward integrating 
technology directly into the floor plan," said Navy Medicine's 
Chief Medical Informatics Officer Cmdr. Peter J Park. "Elec- 
tronic monitors now track patients and new computer work- 
stations allow clinicians and other authorized staff access to 
electronic health records at bedside. These upgrades were all 
integrated and optimized to allow caregivers more time with 
their patients." 

According to Park, the improvements include the ability to 
offer "streamer or adaptive short triage." 

Previously, patients were met by a clerk when they entered 
the ED at NMCSD. Now, patients are greeted by a registered 
nurse upon arrival. This new, abbreviated time between arrival 
and evaluation means patients with urgent needs — those in car- 
diac arrest, for example — receives potentially life-saving diag- 
nostic tests such as electrocardiograms much faster. The newly 
renovated ED also allows patients to stream directly into open 

Photo by Mass Communication Specialist 2nd Class John Wagner 

Emergency Medicine Physician Cmdr. Garricl< Stride, Medical 
Corps, enters data into a patient's electronic health record at 
Naval Medical Center San Diego, Sept. 14. 

beds, reducing bottlenecks and wait times. 

The facility has also added bedside consolidated charting. 
Staff use thin clients small, notebook-sized hardware instead of 
traditional bulky computers in each patient room so the entire 
ED staff to have swift access to patients' electronic medical 

The NMCSD renovation included other improvements as 

"We want our patients to have a pleasant experience here," 
said Cmdr. John Love, chairman, NMCSD Emergency Depart- 
ment. "When waiting does occur, we have the restaurant- style 
pager system we loan to patients so they are comfortable with 
leaving the waiting room. That way, we can call them back when 
its their turn to be seen." 

Love added that the department and command were dedi- 
cated to these new improvements, "because reducing wait 
times, as in getting a patient to a bed shortly after they check in, 
and providing the most efficient and safe care possible, are very 
important to us." 

Naval Medical Center San Diego 
expands health care capabilities 

(Fronn left to right) Commanding Officer Naval Facilities 
and Engineering Command Capt. Cliff Maurer, Deputy 
Commander Naval Medical Center San Diego (NMCSD) 
Capt. (Dr.) Mark Kobeija, NMCSD Emergency Depart- 
ment (ED) Chairman Cmdr. (Dr.) John Love, NMCSD ED 
Senior Nurse Lt. Cmdr. Accursia Baldassano and I.E. 
Pacific contractor Matt Lockwood cut a ribbon signify- 
ing the grand opening of the newly- renovated ED. 
Improvements to the ED included five triage bays, five 
high-acuity beds, $650,000 of new equipment, and an 
increase from 26 to 41 beds. The 23,800 square foot 
emergency department can treat more than 70,000 
patients a year. 

6 -MEDNEWS • September 2012 

Naval Hospital Bremerton kicks off 201 2 CFC campaign 

By Mass Communication Specialist 1st Class (SW) Char- 
lemagne Obana, Naval Hospital Bremerton Public Affairs 

BREMERTON, Wash. - Naval Hospital Bremerton (NHB) Sail- 
ors gathered together on the quarterdeck to celebrate the 2012 
Combined Federal Campaign (CFC) Kick Off, Sept 14. 

"This years campaign theme is Impacting Lives, 365'. This 
reminds us that what we give through CFC helps every day of 
the year," said NHB CFC Chairperson, Lt. Heather Rosati. 

"I love [CFC] because it really allows me to know where my 
money goes and I like that," said NHB Executive Officer, Capt. 
Maureen Pennington, who was presented a 
CFC campaign coin by Rosati. 

"I do three different areas. I always do 
something for the military. For a long time 
now, I've been doing something for animals 
because I'm a big animal lover, and I also 
do something for hospitals for children." 

The goal for NHB's contribution to the 
annual campaign, which runs from, Sept. 
15 through Nov 15, is $67,000. There will 
be a display on the quarterdeck with a 

thermometer to represent the progress of the campaign toward 
reaching that goal according to Rosati. 

One new feature being touted this year to give donors more 
options is called Universal Giving. 

NHB CFC is part of the region campaign. Greater Olympic 
Peninsula (GOP) CFC, and according to their website, http://, the Office of Personnel Management has chosen 
their campaign to conduct a pilot project which will allow do- 
nors the opportunity to pledge their donation to any approved 

CFC agency world-wide. 

Donations to past NHB CFC campaigns could only be pro- 
vided to national and international agencies and agencies local 
to the Greater Olympic Peninsula geographically. 

"Through Universal Giving, you have more choices of who to 
give to," said Rosati. "You can give through any charity as long 
as they're in any CFC campaign throughout the country. For 
me, being from Massachusetts, I plan to give to a local charity 
that has impacted my family in Massachusetts." 

"To do Universal Giving, you have to go to the website to 
search for whatever charity you want. An icon will pop up to 

indicate if that charity is Universal Giving, 
local, national, or an international charity." 

Rosati also highlighted the many 
tentatively scheduled campaign fundrais- 
ing events including a fall festival with a 
dunking booth, yard sale, and hosting the 
popular, annual dodgeball tournament 
planned for October. 

CFC representatives were already hard 
at work earlier that morning with a dona- 
tion-only bake sale headed by NHB CFC 
President for the Fundraising Campaign Committee Hospital 
Corpsman 1st Class (IDW) Dawn Dillow, assistant division 
officer for OB/GYN, which resulted in over $400. Along with 
an ample selection of cookies, brownies, and muffins donated 
by staff members, healthy options such as fresh fruit and yogurt 
were offered. 

"Take time to pitch in and give what you want to give," said 
Pennington. "It doesn't have to be a lot. It's a great way to make 
a difference." 

Federal Campoigii 


From page 5 

provide. They will also work closely with 
the leadership at the Medical Educa- 
tion and Training Campus (METC) in 
San Antonio to ensure Navy personnel 
are well- supported as well as maintain 
seamless and focused training for hospital 
corpsmen who keep Sailors and Marines 
medically fit and ready. 

"Our job in Navy Medicine is to sup- 
port the forward deployed force and en- 
sure personnel readiness. Navy Medicine 
keeps the nation's naval forces medically 
ready to operate around the world in 
support of U.S. national objectives," wrote 
McCormick-Boyle. "Our main mission is 
support to the warfighter and we're in the 
fight to build an organization that can do 
just that. NMSC and its leadership did an 

outstanding job throughout their exis- 
tence, but as the needs of our customers 
change and the dynamics of the environ- 
ment we operate in changes, we also have 
to flex and adapt to meet those shifting 

The overall realignment was developed 
to enhance accountability, command and 
control, and ensure representation of 
Navy equities both across the enterprise 
and throughout the Fleet. 

Many of NMSC's former responsibili- 
ties will be absorbed by the Bureau of 
Medicine and Surgery (BUMED) de- 
partments and many of NMSC's lower 
echelon commands will be function- 
ally realigned to departments within 
BUMED including the Navy and Marine 
Corps Public Health Center which will 
be realigned under BUMED's health care 
operations department. 

The realignment also established two 
new department codes, M2 to manage 
all research and development and M7 for 
education and training. 

Rear Adm. Bruce Doll has been ap- 
pointed as BUMED M2 and will report 
to BUMED in October 2012. Rear Adm. 
William Roberts, who is reporting as the 
commandant of METC next month, will 
serve as BUMED M7. 

According to McCormick-Boyle, all 
personnel impacted by the realignment 
have been notified and implementation 
of plan is underway. 

"Our people are our most valuable 
asset and they enable us to meet our 
missions. With that, we are committed to 
making the realignment process as trans- 
parent and seamless as possible for all of 
you," she said. 



If you 

'd like 


Got News? 

submit an article or have an idea 
703-681-9032 or Valerie . Kremer@me 


or one, 


September 2012 'MEDNEWS -7 


By Meghan Patrick, Military Sealift 
Command Public Affairs 

SAN DIEGO - Seventy civil service mari- 
ners, and approximately 400 Navy, Army 
and non-governmental organization 
(NGO) personnel aboard Military Sealift 
Command hospital ship USNS Mercy (T- 
AH 20) returned to San Diego Sept. 14. 

They steamed more than 20,000 miles - 
nearly the distance of circling the equator 
- to Indonesia, the Philippines, Vietnam 
and Cambodia as the lead vessel for Pa- 
cific Partnership 2012 (PP12). 

PP12 is a nearly five-month humani- 
tarian and civic assistance mission that 
resulted in medical treatment for nearly 
50,000 people. Many of the ships mission 
personnel - which total about 1,200 ser- 
vice members and civilians - have already 
returned home. 

The 894-foot Mercy, one of two U.S. 
Navy hospital ships, is operated by the 
U.S. Navy's Military Sealift Command. 
MSC's civil service mariners were respon- 
sible for Mercys operation and naviga- 
tion. In addition, since the ship is too 
large for pierside visits, mariners operated 
small boats to transport patients and per- 
sonnel between ship and shore. 

Doctors and nurses from the ships 
medical treatment facility worked with 
medical professionals from numerous 
governmental agencies, non-governmen- 
tal organizations and the host nations to 
provide medical care, including immuni- 
zations, general and specialty surgeries, 
dental care and vision services. At the in- 
vitation of the host nations, PP12 brought 
the expertise of U.S. service members and 
personnel from 13 partner nation militar- 
ies and 28 NGOs to build and strengthen 
relationships and work together to learn 
how to better collectively respond to 
natural disasters and crisis. 

As part of the medical outreach effort, 
which took place both ashore and aboard 
the ship, Mercy s team treated more than 

Photo by Mass Communication Specialist 3rd Class Michael Feddersen 

Sailors and family members walk down the pier after the Military Sealift Command 
hospital ship USNS Mercy (T-AH 19) after returning to homeport. Mercy left San 
Diego May 3 for Pacific Partnership 2012 and provided humanitarian and civic as- 
sistance to the countries of Indonesia, Philippines, Vietnam and Cambodia. 

49,000 people ashore, including dental 
care and services like the distribution of 
eyeglasses and sunglasses. The team per- 
formed more than 900 shipboard surger- 
ies, and treated or evaluated more than 
7,000 livestock and domestic animals. 

In addition, the Mercy team conduct- 
ed more than 60,000 hours during 
62 subject-matter expert exchanges in 
the four countries visited on topics 
including first aid, nursing, cardiology, 
orthopedics, nutrition, disaster response, 
water and food safety, and public health 

U.S., Australian and host-nation en- 
gineers built or refurbished 13 buildings 
and the crew collectively participated in 
more than 100 community service proj- 
ects to include the delivery of 244 pallets 
(more than 144,000 pounds) of donated 
supplies requested by host nations. 

Pacific Partnership 2012 is a U.S. 

Mercy's team treated more than 49,000 people 
ashore, including dental care and services like the 
distribution of eyeglasses and sunglasses. 

Pacific Fleet mission led by three differ- 
ent element commanders: civilian Capt. 
Jonathan Olmsted, Mercy s civil service 
master; Navy Capt. James Morgan, com- 
mander for the overall Pacific Partnership 
mission; and Navy Capt. Timothy Hin- 
man, commander of the medical treat- 
ment facility responsible for providing 
care aboard Mercy and ashore. 

"My most profound memory was 
watching six surgeries - all of which were 
performed in a 30-minute timeframe 
while we were anchored off the Philip- 
pines," said Olmsted, who has overall 
responsibility for Mercy s movement and 
the safety of its nearly 1,000 passengers. 
"We saw four children and two adults 
receive life-changing procedures includ- 
ing cataract transplants, tumor removals, 
and other corrective surgery. That's when 
it really hit me why PP12 is so important." 

Military Sealift Command oper- 
ates approximately 110 noncombatant, 
civilian-crewed ships that replenish U.S. 
Navy ships, conduct specialized missions, 
strategically preposition combat cargo at 
sea around the world and move military 
equipment and supplies used by deployed 
U.S. forces. 


View more Navy Medicine photos online at: 

8 -MEDNEWS -September 2012 

Navy Medicine Research 

Navy lab promotes physical and cognitive research 

From Naval Health Research Center 
Public Affairs 

SAN DIEGO - The Warfighter Perfor- 
mance Laboratory at the Naval Health 
Research Center (NHRC) in San Diego 
focuses on maximizing operational 
performance and enhancing warfighter 
resilience as well as improving assess- 
ment, diagnosis and advanced rehabili- 
tation strategies. One of the functional 
research groups within the Warfighter 
Performance Laboratory is the Physical 
and Cognitive Research Environment 
(PhyCORE) research team. 

PhyCORE research focuses on physi- 
cal and cognitive performance factors 
of healthy and injured warfighters. The 
Computer Assisted Rehabilitation Envi- 
ronment (CAREN) is a multifunctional 
system, including a 6-degrees-of-freedom 
motion platform, 12 cameras for 3D 
motion capture, a dual-belt treadmill, 
embedded force plates, a 180-degree 
10-foot-tall panoramic screen, and realis- 
tic sounds and scents. 

The NHRC CAREN, one of four in the 
Department of Defense, allows for the 
assessment of kinetic and kinematic mea- 
surements in a fully immersive virtual 
environment. Cognitive activities with 
physical tasks can also be implemented. 

With research focused on warfight- 
ers who have suffered traumatic brain 
injury and/or amputation, the PhyCORE 
research team strives to improve rehabili- 
tation programs and techniques, enabling 
the injured warfighters to regain autono- 
my and independence in the community 
through improved rehabilitation practice 
and patient care. 




_ ia 



■l ' 

Courtesy photo 

Vestibular patient from Naval Medical Center San Diego in a rehabilitation exer- 
cise in the PhyCORE at the Warfighter Performance Laboratory at the Naval Health 
Research Center. 

The PhyCORE research team has sev- 
eral active protocols in place to establish 
baseline standards of performance in 
novel immersive virtual environments 
using CAREN for both healthy and 
injured populations (e.g.. Development 
of a Database for Abie-Bodied Ambula- 
tors and Development of a Database for 
Lower- Limb Amputees). Measurements 
of gait, muscle activation, biomechanics, 
and body composition are collected and 
used for assessment. 

In collaboration with the Naval Medi- 
cal Center San Diego, the PhyCORE re- 
search team is studying the performance 
of wounded warriors with vestibular dys- 
function and/or amputation through pro- 
tocols such as Improved Training Method 
for Rapid Rehabilitation of Amputees and 
Balance Training in Patients with TBI. 

Preliminary results suggest that volun- 

teers under some circumstances perform 
differently in the virtual environment 
compared to the traditional laboratory 
setting. However, training programs con- 
ducted in the virtual environment lead to 
improvements in physical and cognitive 
tasks in both healthy and injured popula- 

While research findings are presented 
to sponsors and to the medical and scien- 
tific communities, the PhyCORE research 
team is also actively collaborating with 
the other DoD CAREN facilities to aug- 
ment treatment regimens for wounded 
warriors. In addition, the PhyCORE 
research team participates in the CAREN 
work group, an international group of 
CAREN facilities sharing ideas and expe- 
riences to push the field of virtual envi- 
ronment therapy to new levels of success. 

Mass casualty drill aboard USS Churchill 

Ship's Serviceman Seaman J amal H. Wilson, from 
Baltimore, portrays a mass casualty victim as the 
9th Expeditionary Resuscitative Surgical System 
(ERSS) team performs a simulated surgery dur- 
ing a mass casualty drill aboard the guided-missile 
destroyer USS Winston S. Churchill (DDG 81), Sept. 
13. Winston S. Churchill is deployed to the U.S. 5th 
Fleet area of responsibility conducting maritime 
security operations, theater security cooperation 
efforts and support missions as part of Operation 
Enduring Freedom. 

September 2012 -MEDNEWS • 9 

Voices from the Field 

Hidden in plain sight ...A perspective on suicide 

By U.S. Public Health Service Cmdr. 
Sarah Arnold, DCoE program manager 
for performance enhancement 

Cmdr. Sarah Arnold is a physician 
trained in family medicine and preventive 
medicine. She served in the Navy for 14 
years and completed two tours in Iraq. 
Five years ago, she lost her friend to suicide 
and was compelled to write about it, in 
part because she was the last person to see 
her colleague and friend before she died 
and also for her own healing. 

Two police officers stood at my front 
door. As I invited them in, they asked 
if I knew the whereabouts of my friend 
Dawn (name changed) because she was 
missing from the hospital. Dawn, a Navy 
nurse, and I, a Navy doctor, at the time, 
worked together. We went our separate 
ways, as we all do in the Navy after a tour 
is over. I was now in a residency program, 
and she was stationed at another clinic. 
That's why I was surprised to see her one 
day at the hospital where I was working. 

A couple of days before the police 
showed up on my doorstep, I had lunch 
with Dawn in the food court at the hos- 
pital. That was the last time I saw her. I 
still had the receipt from Taco Bell — it 
was my treat. One of the officers said, 
"It looks like you may have been the 
last person who remembers seeing her, 
because shortly after, she was reported 
missing from the hospital. We were given 
your name because she has to sign in and 
out from the ward and tell the staff who is 
with her." The officers left me a business 
card with instructions to call if I saw or 
heard from her. 

I tried to remember earlier conversa- 
tions to figure out where she could be. 
Dawn wouldn't tell me why she was in 
the hospital, so I thought something must 
have happened at her clinic. All I knew 
about her medical history was that she 
had a traumatic brain injury in the past; I 
think from a car accident. When we were 
working together, she did OK. She was 
a hard worker and lived by herself while 
her husband and two children lived about 
an hour away. She didn't like her job, but 
most of us didn't like our jobs at the clinic 
because we were always understaffed 

Photo by U.S. Navy Petty Officer 3rd Class Kevin J. Steinberg 

September is Suicide Prevention Awareness Month. During the month, the services 
come together to highlight the resources avaialable for suicide prevention. 

because of deployments or nervous about 
being taken out of our clinic to deploy. 
There was no shore duty anymore, except 
for training programs like the one I was 
in. She always seemed lonely and kept to 
herself. Dawn was also very thin; I hardly 
saw her eat. In fact, the strange thing 
about having lunch with her that day 
was she actually ate her entire meal in 
front of me. 

The next few days after meeting with 
the police officers were uneventful. I was 
really busy with my training program 
and still hadn't heard from Dawn. Then, 
I checked my email. My heart sank as 
I read an email from a mutual friend 
saying Dawn was found hanging from a 
tree in a park near the hospital. My mind 
immediately went back to the words 
from the police officer — "You may have 
been the last person who remembers 
seeing her" — words I haven't forgotten. 
After all, I am a primary care physician. 
Dawn was my friend and colleague, and I 
missed it — and I live with that every day. 

As suicides in the military continue to 
gain media attention, we must remem- 
ber the friends and family left behind. 
While suicide prevention programs are 
necessary and powerful tools, it's also 

important to realize that sometimes 
the messages can be overwhelming to 
people who lost a friend or loved one to 
suicide. Messages like, "all suicides are 
preventable" are a strong call to action 
but can leave these folks feeling guilty 
and ashamed, which is no consolation 
after a tragic death. 

Though it's critical to recognize the 
circumstances of a potential suicide, we 
must also be sensitive to the needs of 
those who lost friends and loved ones. 

We can help by directing them to 

If you're grieving and inter- 
ested in talking to someone, explore 
the bereavement counseling options 
through resources such as Vet Cen- 
ters, Tragedy Assistance Program for 
Survivors and Give an Hour. DCoE also 
has a fact sheet that can help you un- 
derstand some of the emotions you're 

If you're a service member in crisis, 
or know someone who may be showing 
signs and symptoms that suggest they 
may need help, contact Military Crisis 
Line at 800-273-8255 (press #1 for mili- 
tary) for 24/7 information and confiden- 
tial crisis support. 

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